EP0566036B1 - Abschnürvorrichtung für Körperteile, insbesondere Venenstauer - Google Patents

Abschnürvorrichtung für Körperteile, insbesondere Venenstauer Download PDF

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Publication number
EP0566036B1
EP0566036B1 EP93105843A EP93105843A EP0566036B1 EP 0566036 B1 EP0566036 B1 EP 0566036B1 EP 93105843 A EP93105843 A EP 93105843A EP 93105843 A EP93105843 A EP 93105843A EP 0566036 B1 EP0566036 B1 EP 0566036B1
Authority
EP
European Patent Office
Prior art keywords
clamping
clamping rocker
rocker
tape
release
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
EP93105843A
Other languages
German (de)
English (en)
French (fr)
Other versions
EP0566036A2 (de
EP0566036A3 (enrdf_load_stackoverflow
Inventor
Peter Holtsch
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
HOLTSCH Metallwarenherstellung Maria Holtsch
Original Assignee
HOLTSCH Metallwarenherstellung Maria Holtsch
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
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Application filed by HOLTSCH Metallwarenherstellung Maria Holtsch filed Critical HOLTSCH Metallwarenherstellung Maria Holtsch
Publication of EP0566036A2 publication Critical patent/EP0566036A2/de
Publication of EP0566036A3 publication Critical patent/EP0566036A3/xx
Application granted granted Critical
Publication of EP0566036B1 publication Critical patent/EP0566036B1/de
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A44HABERDASHERY; JEWELLERY
    • A44BBUTTONS, PINS, BUCKLES, SLIDE FASTENERS, OR THE LIKE
    • A44B11/00Buckles; Similar fasteners for interconnecting straps or the like, e.g. for safety belts
    • A44B11/25Buckles; Similar fasteners for interconnecting straps or the like, e.g. for safety belts with two or more separable parts
    • AHUMAN NECESSITIES
    • A44HABERDASHERY; JEWELLERY
    • A44BBUTTONS, PINS, BUCKLES, SLIDE FASTENERS, OR THE LIKE
    • A44B11/00Buckles; Similar fasteners for interconnecting straps or the like, e.g. for safety belts
    • A44B11/02Buckles; Similar fasteners for interconnecting straps or the like, e.g. for safety belts frictionally engaging surface of straps
    • A44B11/06Buckles; Similar fasteners for interconnecting straps or the like, e.g. for safety belts frictionally engaging surface of straps with clamping devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/132Tourniquets
    • A61B17/1322Tourniquets comprising a flexible encircling member
    • A61B17/1327Tensioning clamps

Definitions

  • the invention relates to a constriction device for parts of the body, in particular a tourniquet, with a housing in which a clamping rocker is pivotally mounted, which in one clamping position presses one end of a band penetrating the housing against a housing wall and releases the band in an opposite release position , the band under tension in the pinch-off position swiveling the clamping rocker into its clamping position, while manual pressure on the clamping rocker swivels it into the release position, and with a releasable snap lock between the other end of the clamping rocker and a cap on the housing-side end of the band.
  • the - regularly elastic - band forms a loop around the body part to be tied off. If the band is tensioned by pulling on its free end, the force occurring at the end on the housing side swings the clamping rocker into its clamping position, in which it locks the band in its constricting position. If you only want to end the constriction without lifting the loop around the body part - for example because a new constriction might be necessary shortly afterwards - all you need to do is press your finger on the clamping rocker (directly or by means of an intermediate link) to pivot it into its release position which can slide the tape back through the breech housing and the pinch tension is released. If, on the other hand, the work with the constricting device is to be ended completely, the snap lock is released and in this way the wrapping of the body part is ended without the free end of the band having to be pulled back through the lock housing.
  • the invention is therefore based on the object of simplifying the handling of a constriction device of the type described in the introduction.
  • At least one mechanical transmission element is provided, which when an actuating pressure is exerted, the clamping rocker first swivels into its release position and, after the band has been released, the snap lock opens. In this way, a "single-organ operation" of the pinching device is created; there is no need to perform different operations to achieve the two functions.
  • the danger is averted that opening the band loop at the snap closure from the constriction position of the band - that is to say under tension of the band - frightens or even injures the patient treated with the constriction device and, for example, leads to a spontaneous change in the blood count when the blood is drawn. Rather, it is ensured that the belt loop can only be opened if a pinching tension that was still present in the belt was previously released.
  • a first alternative provides that when the clamping rocker is pivoted out of its clamping position, the transmission member only makes the operative connection to the latching lock in the release position of the clamping rocker and opens it when the clamping rocker is pivoted further into an open position.
  • the transmission member (or several of them) can be switched on between the clamping rocker and the snap lock, or it can be an additional actuating element, which first pivots the clamping rocker into its release position on its actuating path and opens the latching connection on the subsequent actuating path.
  • a 'pressure point' can mark the transition from the clamping rocker actuation to the snap closure actuation, advantageously in that the transmission members apply the actuating pressure to the clamping rocker oppose greater resistance when opening the snap fastener than can be overcome to release the strap.
  • This can be achieved in particular by the fact that the closing force of at least one spring, which presses the latching lock into its closed position, counteracts the opening actuation with a greater force component than the band in its constricted position exerts on the clamping rocker in the clamping sense.
  • the pressure actuation can take place directly on the clamping rocker, which is or comes into engagement with the transmission member (or the transmission members).
  • intermediate links can also be provided for the actuation of the clamping rocker on the one hand, and the latching lock on the other hand, for example a pushbutton which is articulatedly connected to the clamping rocker or sliding buttons which, when actuated, first come into engagement with the clamping rocker and then with the components of the latching connection .
  • a particularly advantageous embodiment of the lock interrupting the actuation sequence consists in that the pivot bearings of the clamping rocker are longitudinally displaceable in the housing and the band in its constricted position pulls the clamping rocker against the force of a spring into a first end position, in which, when the clamping rocker is actuated, a stop causes its pivoting movement limited to reaching the release position until after release (and strain relief) of the band, the spring moves the clamping rocker into its second end position, in which it can be pivoted into its open position and thereby opens the snap lock.
  • the stop preferably has a section which extends essentially at right angles and prevents the longitudinal movement of the clamping rocker under the spring force (“catch nest”) until the clamping rocker swings back into a release position.
  • a closure 1 has a closure housing 2, which has the shape of a broad U in cross section (FIG. 3), but can also be at least partially closed at least above (see FIGS. 7-10 and 13-17).
  • a clamping rocker 3 is pivotally mounted approximately in the middle with the aid of a pin 4 consisting of two parts (FIG. 3).
  • a pinch tape 5 runs between the bottom section 6 of the housing 2 and the clamping rocker 3. It forms - on the left in FIG. 1 - a band loop shown only with band sections 5a and 5b; the housing-side band end at section 5b is fastened in a cap 7, which carries one partner 8a of the snap closure, which is designated overall by 8.
  • the other snap lock partner not shown in FIGS.
  • FIGS. 3 - 6 first show the constructive measures with which this release and opening sequence of the closure 1 (with the latching closure 8) can be achieved.
  • the latching partner 8a on the cap 7 has a tongue 13 which closes in the region of its free end two mirror-symmetrically to the longitudinal axis 19 laterally projecting hook 14 is formed.
  • the tongue 13 can be inserted into an opening 15 in the facing end face 16 of the clamping rocker 3; a middle guide 17 in the clamping rocker engages in a groove (not shown) in the underside of the tongue 13.
  • the hooks 14 on the tongue 13 of the locking partner 8a engage behind locking cams 18 on two sliding members 20 which are mirror-symmetrical to the longitudinal axis 19 and which are guided in the clamping rocker 3 so as to be displaceable transversely.
  • the locking cams 18 opposite spring tongues 21 lie against the other hook 14 and, with their spring force impressed in the locking state by elastic deflection, ensure that the sliding members 20 do not perform any unwanted transverse movement, as a result of which the locking connection between the locking cams 18 and the hook 14 would solve.
  • Such a snap lock design is known from DE-U-92 00 574.8.
  • the sliding members 20 do not run out in lateral, externally accessible push buttons which serve to open the snap lock, namely to move the snap cams 18 against the force of the spring tongues 21. Rather, as shown in FIGS. 3 and 5, they are laterally provided with wedge surfaces 22 which rest against correspondingly inclined wedge surfaces 23 on the side walls of the closure housing 2 and are in engagement therewith.
  • Fig. 5 illustrates that with a pressure on the clamping rocker (in the direction of arrow 12 in Fig.
  • the bevels 24 shown in FIG. 4 on the recess in the clamping rocker 3 serving to guide the sliding members 20 reinforce the engagement of the locking cams 18 with the hooks 14 with increasing pinch-pulling force in the band 5, so that it is ensured that even with a strong pinch-off force none unwanted loosening of the snap lock 8 takes place.
  • FIGS. 7-10 illustrate a modified embodiment in which the clamping rocker is not actuated and only after it has reached its - the band 5 releasing - Release position and further pivoting the opening position is reached, in which the snap lock is additionally open, rather here 25 push buttons 26 are provided laterally out of the lock housing 2 with actuating buttons.
  • These act with oblique run-up surfaces 27 on a wedge-shaped attachment 28 which is attached to the clamping rocker 3 approximately in the region of the arrow 12 (FIG. 1).
  • the actuating buttons 25 also act on the lateral end faces 30 of the sliding members 20, with respect to which reference can be made to the previous description of the exemplary embodiment in FIGS.
  • FIGS. 11 and 12 Yet another arrangement is illustrated schematically in FIGS. 11 and 12.
  • a trestle 31 is fastened in the middle on a bridge 32, which is arranged above the band 5 between the side walls of the closure housing 2 and fastened to the latter.
  • the bracket 31 has double sloping side walls 23a; these diverge from top to bottom (Fig. 12) and from front to back.
  • the opening operation cannot be distinguished from the previous release operation on the part of the operator or, at best, by a different resistance (pressure point) of the actuating members involved, so that the opening follows the release too quickly when the operation is insensitive, see the in the 13 to 16 illustrate exemplary embodiments of a lock which initially limits the actuation to reaching the release position and require a brief release of the actuation pressure so that the further actuation into the open position can be carried out by renewed actuation pressure.
  • the clamping rocker 3 is not only pivotally mounted on the axis 4 fixedly held in the housing 2 by means of lateral elongated holes 40, but is also guided to a limited extent in the longitudinal direction (longitudinal axis 19 in FIG. 4).
  • a spring 41 which is supported on the axis 4, acts on a bent leg 42 of the clamping rocker 3 and searches to press them into their open position, in which the elongated holes 40 rest with their ends on the left in the drawings on the axis 4 (FIG. 15).
  • Fig. 16 shows a modified embodiment of the lock designed as a "catch nest" against a seamless transition from the release operation to the opening operation.
  • the wedge surfaces 22, 23 described with reference to FIGS. 3 to 6 are additionally provided with locking members offset in the longitudinal direction.
  • the pins 50 attached to the sliding members 20 are caught in pocket-shaped recesses 51 in the opening members 52 having the wedge surfaces 23 at the end of the release actuation of the clamping rocker 3.
  • FIG. 17 schematically shows the arrangement of projections 55, 56 on the pushbutton 43 (of the exemplary embodiment in FIGS. 13-15) or the opening 44 surrounding it in the lid of the closure housing 2.
  • the projection 55 passes the projection 56 and generates it a clicking sound that signals the operator that the release position has been reached.

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Reproductive Health (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Clamps And Clips (AREA)
  • Surgical Instruments (AREA)
EP93105843A 1992-04-11 1993-04-08 Abschnürvorrichtung für Körperteile, insbesondere Venenstauer Expired - Lifetime EP0566036B1 (de)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
DE9205067U DE9205067U1 (de) 1992-04-11 1992-04-11 Verschluß für eine Abschnürvorrichtung für Körperteile
DE9205067U 1992-04-11
US08/045,616 US5314437A (en) 1992-04-11 1993-04-09 Constricting device for body parts

Publications (3)

Publication Number Publication Date
EP0566036A2 EP0566036A2 (de) 1993-10-20
EP0566036A3 EP0566036A3 (enrdf_load_stackoverflow) 1994-03-23
EP0566036B1 true EP0566036B1 (de) 1996-08-14

Family

ID=25959384

Family Applications (1)

Application Number Title Priority Date Filing Date
EP93105843A Expired - Lifetime EP0566036B1 (de) 1992-04-11 1993-04-08 Abschnürvorrichtung für Körperteile, insbesondere Venenstauer

Country Status (5)

Country Link
US (1) US5314437A (enrdf_load_stackoverflow)
EP (1) EP0566036B1 (enrdf_load_stackoverflow)
AU (1) AU651760B2 (enrdf_load_stackoverflow)
DE (2) DE9205067U1 (enrdf_load_stackoverflow)
ES (1) ES2093307T3 (enrdf_load_stackoverflow)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE29913992U1 (de) * 1999-08-11 2000-12-21 Holtsch, Maria, 65232 Taunusstein Abschnürvorrichtung für Körperteile, insbesondere Venenstauer

Families Citing this family (24)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE29807189U1 (de) 1998-04-21 1998-07-02 Brandl, Monika, 48599 Gronau Sicherheitsvorrichtung gegen akuten Blutverlust, in Kleidungsstücke eingearbeitet (Pressursystem)
FR2783153B1 (fr) * 1998-09-14 2000-12-01 Jerome Dargent Dispositif de constriction gastrique
US6217601B1 (en) * 1999-10-08 2001-04-17 Richard C. C. Chao Adjustable hemostatic strap
DE10161749C1 (de) * 2001-12-15 2003-01-30 Kimetec Medizintechnik Gmbh Abschnürvorrichtung
US6746470B2 (en) 2002-01-18 2004-06-08 Mcewen James Allen Emergency and military tourniquet for pre-hospital use
FR2870450B1 (fr) * 2004-05-18 2007-04-20 David Jean Marie Nocca Bandelette prothesique ajustable
US7468067B2 (en) * 2004-07-29 2008-12-23 Virginia Commonwealth University One hand tourniquet with locking mechanism
US7370392B2 (en) * 2005-05-18 2008-05-13 Holtsch Medizinprodukte Gmbh Locking device
US20080262534A1 (en) * 2007-04-20 2008-10-23 O'neil Terence Method and apparatus for restricting blood flow
US7947061B1 (en) 2007-09-27 2011-05-24 Fast-T, LLC Ratcheting tourniquet apparatus
US8439943B2 (en) * 2009-06-03 2013-05-14 Huntex Corporation Tourniquet
US8523885B2 (en) * 2009-09-18 2013-09-03 Ethicon Endo-Surgery, Inc. Implantable restriction system with load monitor
US8635746B2 (en) 2010-04-09 2014-01-28 Cenorin, Llc Closure latch
US9855055B2 (en) 2013-09-27 2018-01-02 Alphapointe Mechanical tourniquet apparatus and method of use
EP3048998A4 (en) 2013-09-27 2017-07-19 Kosiorek, Christopher B. A pneumatic tourniquet apparatus and method of use
US11504135B2 (en) 2013-09-27 2022-11-22 Alphapointe Mechanical tourniquet apparatus and method of use
US12349924B2 (en) 2013-09-27 2025-07-08 Alphapointe Mechanical tourniquet apparatus and method of use
GB201516839D0 (en) * 2015-09-23 2015-11-04 North Tees And Hartlepool Nhs Trust Improved tourniquet release device and tourniquet
CN106333427A (zh) * 2016-08-22 2017-01-18 北京英茂药业有限公司 一种医用防松动卡扣
CN116392190A (zh) * 2017-01-12 2023-07-07 武田药品工业有限公司 智能压脉带
US20210259663A1 (en) 2018-05-31 2021-08-26 Matt Mcgrath Design & Co, Llc Integrated Medical Imaging Apparatus Including Multi-Dimensional User Interface
CN110477985B (zh) * 2019-08-29 2024-08-27 北京华脉泰科医疗器械股份有限公司 血管吻合用免缝合扣环
DE102020123496A1 (de) * 2020-09-09 2022-03-10 Kimetec Gmbh Abschnürvorrichtung für Körperteile
CN113712608B (zh) * 2021-05-14 2022-06-17 浙江大学 完全腹腔镜下绕肝带法二步切除病患侧肝的手术方法及其器械

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE9200574U1 (de) * 1992-01-18 1992-03-19 Holtsch Metallwarenherstellung Inh. Maria Holtsch, 6204 Taunusstein Verschluß für eine Abschnürvorrichtung für Körperteile

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US3667471A (en) * 1969-08-15 1972-06-06 Us Army Surgical clamp
FI761610A7 (enrdf_load_stackoverflow) * 1975-08-16 1977-02-17 Praemeta Praezisionsmet U Kuns
DE3234458A1 (de) * 1982-04-01 1983-10-13 Sanimed Vertrieb AG, St. Gallen, 9000 St. Gallen Staugurt
DE3314099A1 (de) * 1983-04-19 1984-10-25 Prämeta Präzisionsmetall- u. Kunststofferzeugnisse G. Baumann & Co, 5000 Köln Gefaessstauer mit einer gurtschnalle und einem staugurt
DE8509593U1 (de) * 1985-03-30 1985-05-15 Holtsch Metallwarenherstellung Maria Holtsch, 6204 Taunusstein Abschnürvorrichtung für Körperteile
AU7647187A (en) * 1986-07-17 1988-02-10 Thoben, H. Tourniquet for parts of the body
US4800879A (en) * 1987-07-09 1989-01-31 Vladimir Golyakhovsky Disposable vascular occluder
DE3840007C2 (de) * 1988-11-26 1997-12-18 Praemeta Abschnürvorrichtung für Körperteile
US5203786A (en) * 1991-06-19 1993-04-20 Thomas Jefferson University Hepatic resection clamp
US5226429A (en) * 1991-06-20 1993-07-13 Inamed Development Co. Laparoscopic gastric band and method

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Publication number Priority date Publication date Assignee Title
DE9200574U1 (de) * 1992-01-18 1992-03-19 Holtsch Metallwarenherstellung Inh. Maria Holtsch, 6204 Taunusstein Verschluß für eine Abschnürvorrichtung für Körperteile

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE29913992U1 (de) * 1999-08-11 2000-12-21 Holtsch, Maria, 65232 Taunusstein Abschnürvorrichtung für Körperteile, insbesondere Venenstauer

Also Published As

Publication number Publication date
DE59303397D1 (de) 1996-09-19
AU651760B2 (en) 1994-07-28
EP0566036A2 (de) 1993-10-20
AU3689893A (en) 1993-11-04
ES2093307T3 (es) 1996-12-16
EP0566036A3 (enrdf_load_stackoverflow) 1994-03-23
DE9205067U1 (de) 1992-06-17
US5314437A (en) 1994-05-24

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